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NPI 1487507422

NPI 1487507422 : SELF EDIT HEALTH : FLOSSMOOR, IL

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General NPI Number Information
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    NPI Number           |    1487507422
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    Entity Type          |    Organization 
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    Legal Business Name  |    SELF EDIT HEALTH 
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Dates
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    Enumeration Date     |    02/18/2026
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    Last Update Date     |    02/21/2026
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Provider Practice Location Address
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    Address Line         |    2852 HAROLDS CRES 
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    City                 |    FLOSSMOOR
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    State                |    IL
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    Zip                  |    60422-2006
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    Country              |    US
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    Telephone            |    312-659-1488
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2852 HAROLDS CRES 
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    City                 |    FLOSSMOOR
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    State                |    IL
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    Zip                  |    60422-2006
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    Country              |    US
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    Telephone            |    312-659-1488
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |    DR. MONICA MONIQUE EDWARDS 
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    Credential           |    PHD
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    Telephone            |    773-908-5394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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